Eur J Cardiothorac Surg 2003;24:303
© 2003 Elsevier Science NL
Images in cardio-thoracic surgery |
Metachronous triple cancer: esophageal carcinoma 4 years later the synchronous bilateral bronchogenic carcinoma
Alpay Sarpera*,
Gülay Özbilimb,
Abid Demircana
a Department of Thoracic Surgery, Akdeniz University Medical School, Antalya, Turkey
b Department of Pathology, Akdeniz University Medical School, Antalya, Turkey
Received 31 January 2003;
received in revised form 31 March 2003;
accepted 1 April 2003.
* Corresponding author. Akdeniz Üniversitesi T
p Fak., Gö
üs Cerrahisi Anabilim Dal, 07070 Antalya, Turkey. Tel.: +90-242-227-43-43; fax: +90-242-227-88-44
e-mail: sarper{at}med.akdeniz.edu.tr
Key Words: Lung cancer • Synchronous carcinoma • Metachronous carcinoma • Multiple primary lung carcinomas • Triple primary carcinoma
A 65-year-old man with bilaterally synchronous stage Ib bronchogenic carcinoma had undergone bilaterally upper lobectomy by right and left thorachotomy, respectively. The pathologic diagnoses of both tumors were squamous cell carcinoma. Four years later, he presented with progressive dysphagia. Oesophagoscopy and biopsy showed an esophageal squamous cell carcinoma. Oesophagectomy and cervical oesophagogastrostomy were performed because of the metachronous triple stage III oesophageal carcinoma (Figs. 1 and 2 ).
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Fig. 1. Computed tomographic (CT) scan of the chest confirmed 1x1 cm lesion in the right upper lobe, and caviter lesion was in 3x4 cm, and located in the left upper lobe. There were no abnormal mediastinal nodes.
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Fig. 2. On the oesophagography; untidy narrowing in the passage was seen at the level of one-third mid-oesophageal segment.
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